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The London Classification of gastrointestinal neuromuscular pathology: a little more flexibility would be wise…
  1. Gabrio Bassotti1,
  2. Vincenzo Villanacci2
  1. 1Gastroenterology and Hepatology Section, Department of Clinical and Experimental Medicine, University of Perugia, Italy
  2. 2Department of Pathology, Spedali Civili, Brescia, Italy
  1. Correspondence to Professor Gabrio Bassotti, Clinica di Gastroenterologia ed Epatologia, Ospedale Santa Maria della Misericordia, Piazzale Menghini, 1, 06156 San Sisto (Perugia), Italy; gabassot{at}

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We read with interest the recent article on the London Classification of gastrointestinal neuromuscular pathology,1 drafted by a panel of pathologists and a few clinicians trying to bring some order to a complex and often mined field. While we agree on the need for a classification of the neuromuscular disorders of the gastrointestinal tract, and we endorse the increasing use of immunohistochemical methods (too often underemployed) in addition to the classic, standard H&E, we found such a classification somewhat ‘rigid’, and would like to add some personal comments on it.

First we feel that, in the form …

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